Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,820.00 / $9,774.00 / $14,552.94	Facility		$6,820.00	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $956.02 / $956.02 / $956.02	Professional		$956.02	$956.02	$956.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $956.02 / $1,338.43 / $1,367.11	Facility		$956.02	$1,338.43	$1,367.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,910.53 / $2,920.30 / $3,252.15	Professional		$1,910.53	$2,920.30	$3,252.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $956.02 / $1,338.43 / $1,367.11	Facility		$956.02	$1,338.43	$1,367.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,489.50 / $2,269.01 / $3,011.25	Professional		$1,489.50	$2,269.01	$3,011.25
United Facility/Professional Professional Modifier Low / Median / High Price $899.96 / $1,349.94 / $2,071.61	Professional		$899.96	$1,349.94	$2,071.61